AMC MCQ Recalls JUNE 2025

Share this:

JUNE 2025 Recalls Compilation

37 lady bartender, husband says she ignores him. Weber lateralises R, Rinne AC>BC both ears. Concern re hearing. Diagnosis?
a/ L sided SNHL from loud music
b/ Earwax blocking L ear canal

55 lady on MTX for RA, fever, dry cough, SOB, pleuritic CP. Bibasal crackles, diffuse infiltrates on CXR. On ramipril. Cause?
a/ Drug induced pneumonitis
b/ Bacterial pneumonia

70 guy with prostate CA already mets, LBP on morphine slow release. Needs extra morphine for breakthrough pain. Breakthrough dose?
a/ 1/12 to 1/6 total daily dose PRN
b/ 1/10 to 1/5 total daily dose PRN

67yo man w/ CHF, SOB, leg oedema, fine creps. Discussed meds and lifestyle. Advice re fluids + salt? Next step?
a/ Brian to restrict Na <2g/day & fluids <1.5L/day
b/ No specific Na or fluid restriction in HF guidelines

38 woman RN, neutropenia found on routine bloods, asymptomatic. Repeat tests same after 6 wks. All other Ix normal. Advice?
a/ Repeat CBC in few months to check abnormality
b/ Refer to haematologist for bone marrow bx

75 guy w worsening central vision, straight lines appear bent. Brown lesion seen at macula. Peripheral vision okay. Diagnosis?
a/ Macular degeneration
b/ Amaurosis fugax

36 male with 4-mo LBP, stiff in AM, better w/ activity. Alternates buttock + lower spine pain. No trauma. Associated condition?
a/ Apical Pulmonary Fibrosis
b/ Coeliac Disease

Psych pt on meds, flagged ECG shows QTc 500ms. Seen in rural ED, rate 61 bpm. Most likely drug cause?
a/ Haloperidol
b/ Aripiprazole

51guy, brother died of CRC at 65. No sx, PR bleeding once w/ constipation last yr. No red flags on exam. Next step?
a/ FOBT now, then every 2 yrs if no low dose aspirin
b/ Colonoscopy now, then every 5 yrs

4yo boy w/ loud snoring, recurrent tonsillitis (4x/yr, 2 yrs). Recent ear infection. Mum concerned. Referral indication?
a/ Upper airway obstruction in kids w/ OSA
b/ 3 tonsillitis episodes in 1 yr

40 lady with 3-mo itchy L ear, no pain. TM abnormal on exam. No fever or resp signs. Likely organism?
a/ Aspergillus niger
b/ Candida albicans

38 man with RA, 3-mo R groin pain, worse, no trauma. Antalgic gait, ↓IR, +Trendelenburg. X-ray normal. Next test?
a/ Magnetic Resonance Imaging
b/ Ultrasound

25yo man w dental pain from hot/cold, no swelling. Pain stops after eating. Can’t see dentist till Mon. Other mgmt?
a/ Reassure no analgesia/ABx needed now
b/ Regular oral paracetamol + codeine

35 lady w 6-wk swollen painful MCPs, worse in AM, better w/ use. Suspect RA. Best specific test?
a/ Anti-CCP
b/ Anti-dsDNA

55male with gout flare in R big toe. On multiple meds, Hx of TIA + HTN. Med contributing to ↑urate?
a/ Aspirin
b/ Ramipril
c/ Atorvastatin

71 yo old man with T2DM, early retinopathy noted. On irbesartan, statin, Janumet. Which med slows retinopathy?
a/ Fenofibrate
b/ Aspirin
c/ Perindopril

35man with 3-wk anal pain post BMs, blood on wiping, firm stool every 2-3d. No red flags. Diagnosis?
a/ Anal fissure
b/ Anal skin tags
c/ Anal warts

42 lady with BMI 34, HTN, failed diet/exercise. Wants bariatric surgery. Eligibility criteria?
a/ BMI >35 or >30 w/ comorbidity not fixed by non-surg
b/ BMI >30 or >25 w/ comorbidity not fixed by non-surg

74man withacute lower abdo pain, can’t void. Hx of LUTS, smooth large prostate on DRE. Cause?
a/ Benign prostatic hyperplasia
b/ Acute bacterial prostatitis

20man with asthma, well-controlled on ICS/LABA. Rare SABA use, had prior ED visits. Advice for worsening control?
a/ Up preventer dose ASAP + inc salbutamol freq in exacerbation
b/ Inc salbutamol freq, keep preventer dose, see doc if pred needed

78 yo farmer w 3-day rhinorrhea, green sputum, pleuritic CP, mild fever, SOB, L creps. T2DM + HTN. What’s a red flag for inpatient CAP?
a/ Multi-lobar CXR involvement
b/ O2 sat <94% RA

17yo male w/ 1-wk dysuria + mucoid urethral discharge, neg gonorrhea/chlamydia tests. Sex active. Most likely dx?
a/ Mycoplasma genitalium
b/ Adenovirus
c/ Herpes simplex virus

39 lady switched from COCP to Microlut 3 wks ago, missed today’s pill, unprotected sex at 1:30am, took pill at 12:30pm. Advice?
a/ Tell her to get emergency contraception now, keep pill at 8am & use condoms till 3 daily pills done
b/ No emergency contraception needed, keep pill at 8am & use condoms till 3 daily pills done

31 guy runner w/ gradual lat knee pain over lateral femoral epicondyle, worse w/ heel strike, no trauma. Dx?
a/ Iliotibial band syndrome
b/ Quadriceps tendon tear

18 lady confused, agitated at rural festival, drunk 5-6 vodkas, unsure on drugs. ER no beds, plan transfer to regional hospital. Next step?
a/ Try to calm her by moving to quiet room & speaking calmly
b/ Give IV droperidol 10 mg

Boy with 1-day limp, afebrile, limited hip IR, better w/ paracetamol. Suspect transient synovitis. Usual age range?
a/ 3 – 10 years
b/ 6 months – 18 months

5yo girl with divorced parents, father calls for consult info, unsure custody/orders. Next step?
a/ Tell dad can’t share info without custody verification
b/ Tell dad to contact mum for info.

49man on haloperidol for bipolar, now has palpitations. ECG shows?
a/ Tachycardia w/ QT prolongation
b/ AF w/ rapid ventricular rate

45man with curved penis, painful intercourse, L side palpable plaque. Most likely dx?
a/ Peyronie’s disease
b/ Balanitis
c/ Balanitis xerotica obliterans

34male w 6-mo fatigue, polyarthritis (hands+knees), ferritin 300, transferrin sat 48%, stable. What’s correct?
a/ HH tx 1st line: regular venesection & iron monitoring
b/ Advise alcohol abstinence in HH management

63man w fatigue, gynaecomastia, low T, normal prolactin + iron. No meds or hx. Next step?
a/ Repeat his fasting testosterone and luteinising hormone levels at 0800 hours on another day.
b/ Commence him on testosterone gel 1% applied topically daily.

67 lady worried about stroke risk after husband’s ischaemic stroke from AFib. No symptoms. Advice on AF screening?
a/ Screen silent AF in pts ≥65 yrs
b/ No screening silent AF per current guidelines.

70 lady with new paroxysmal AF, DM, HTN, no stroke/falls hx. CHA2DS2-VASc stroke prevention next step?
a/ Start apibaxan 5mg orally twice daily.
b/ Start aspirin 100mg orally daily.

67 male with severe R knee OA, scheduled TKR. Surgeon says early mobilization after surgery is better than long bed rest. What to tell him?
a/ Early mobilise same day, ideally 4-8 hrs post TKR
b/ Early mobilise 24-48 hrs post TKR.

40yo lady with 12 mo fatigue, weakness, weight loss, low Na, high K, low fasting glucose. Likely cause?
a/ Addison’s disease
b/ Cushing’s syndrome
c/ Conns syndrome

57 lady smoker w/ chronic cough + worsening SOB. Spirometry done (obstructive pattern). Interpretation?
a/ Moderate obstructive airway dz, no reversibility
b/ Mild obstructive airway dz, no reversibility

45 lady post-Mycoplasma pneumonia, now w/ fatigue + SOB, anemia normocytic, high LDH, high bili. Most likely diagnosis?
a/ Autoimmune haemolytic anaemia
b/ Aplastic anaemia

12yo boy w/ persistent night cough, coughing fits, vomiting, pertussis PCR+. School exclusion duration?
a/ Exclude child until 5 days of antibiotics given
b/ Exclude child 14 days from cough onset

38 lady husband had recent infidelity, +chlamydia NAAT, started doxy, reluctant to inform wife. Next step?
a/ Help husband notify all partners last 6 months about chlamydia
b/ Refer wife care/testing to colleague.

59 male truckie w/ severe OSA on CPAP, moderate daytime sleepiness. Driving advice per Aust guidelines?
a/ Needs sleep specialist consult for conditional commercial licence
b/ Can drive private licence if compliant w/ CPAP & response good

Share this:

6 thoughts on “AMC MCQ Recalls JUNE 2025”

    1. Yes, once you subscribe, you will have full access to all study materials, recalls, questions, and answers in their complete form within the package you choose

Leave a Comment

Your email address will not be published. Required fields are marked *

This site uses User Verification plugin to reduce spam. See how your comment data is processed.
Scroll to Top